Résumé
Trichobezoars are an unusual pathology that appears generally in young adolescents associated with psychiatric disorders. The clinical presentation is very varied. The diagnosis is suspected by the clinical records of teen agers with trichophagia and trichotillomania and the digestive disorders are confirmed by the results of the endoscopy, the same as with images toward the therapeutic management. Undowbtly the treatment is surgical, and continuation with the psychiatric treatment is essential to avoid a recidival of the disease. Bezoar is a concretion formed in the alimentary tract, and according to the substances forming the ball, we find trichobezoar (foodball). The Rapunzel syndrome is an unusual complication of individual bezoar. When the trichobezoar located in the stomach extends through the pylorus into the small intestine and the right colon, is known as Rapunzel syndrome, that is an extremely rare gastric condition in humans. It is a rare form of trichobezoar, occurring in psychiatric patients with the trichobezoar (hairball) located in the stomach. The syndrome is named after the long haired girl Rapunzel in the fairy tale of the brothers Grimm. Most bezoars in teen agers are trichobezoars from swallowed hair. A 28-year-old patient is presented, with abdominal pain and vomiting, on the general physical examination the patient revealed a severe weight loss. Later on, through a gastrostomy, appeared the trichobezoar, being removed with good postsurgical resullts
Sujets)
Humains , Femelle , Adulte , Estomac , Trichotillomanie/anatomopathologie , Bézoards/chirurgie , Bézoards/diagnostic , Bézoards/anatomopathologie , Bézoards/psychologie , Systèmes écologiques fermésRésumé
Los tumores carcinoides son neoplasias poco frecuentes en el tubo digetivo y que se desarrollan a partir de las células que forman el sistema APUD o neuroendocrinas. El objetivo es analizar la nueva nomenclatura, la incidencia en el aparato digetivo, la presentación clínica, diagnóstico y tratamiento quirúrgico
Sujets)
Mâle , Humains , Femelle , Cellules APUD , Tumeurs de l'intestin , Intestins , Tumeurs neuroendocrines , Techniques histologiquesSujets)
Humains , Cholestase/chirurgie , Cholestase extrahépatique/chirurgie , Anastomose de Roux-en-Y , Anastomose chirurgicale , Conduits biliaires/chirurgie , Cholestase/diagnostic , Cholestase/étiologie , Conduit hépatique commun/chirurgie , Conduit hépatique commun/traumatismes , Jéjunum , Procédures de chirurgie des voies biliaires/méthodesRésumé
En el presente trabajo se analiza la experiencia sobre 37 reintervenciones de via biliar principal por litiasis. Se propone el abordaje del hepatocoledoco de izquierda a derecha, via antro-piloro-duodenal, destacando detalles tecnicos de importancia, sus ventajas en relacion a las tecnicas clasicas y los excelentes resultados obtenidos
Sujets)
Adulte , Adulte d'âge moyen , Humains , Mâle , Femelle , Lithiase biliaire , Réintervention , Procédures de chirurgie opératoireRésumé
En el presente trabajo se analizan cinco pacientes con diagnostico clinico de pancreatitis aguda y severa dislipoproteinemia que evolucionaron favorablemente con el tratamiento medico